Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.10 / $1,147.14 / $2,067.29	Professional		$1,103.10	$1,147.14	$2,067.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.15 / $1,810.28 / $2,273.28	Professional		$1,296.15	$1,810.28	$2,273.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $365.75 / $1,959.11	Professional		$32.34	$365.75	$1,959.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,211.33 / $1,541.71 / $1,768.94	Facility		$1,211.33	$1,541.71	$1,768.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,387.88 / $1,810.28 / $2,273.28	Professional		$1,387.88	$1,810.28	$2,273.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.54 / $1,818.88 / $2,818.72	Professional		$1,409.54	$1,818.88	$2,818.72